著者

畑山 靖樹 杉山 晴俊 村上 大輔 大浦 弘嵩 嶋 由紀子 白戸 美穂 西野 隆義 新井 誠人 加藤 直也

出版者

一般社団法人 日本肝臓学会

雑誌

肝臓 (ISSN:04514203)

巻号頁・発行日

vol.64, no.12, pp.653-655, 2023-12-01 (Released:2023-12-11)

参考文献数

7

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A Japanese woman in her 30s was diagnosed with hepatitis B surface antigen positivity during pregnancy with her first child. Her liver function was normal; however, high viral load was observed. In accordance with the guidelines, a nucleic acid analog was administered starting at 28 weeks' gestation. The baby was delivered nearly at term, and the nucleic acid analog was discontinued one day prior to the delivery. Liver dysfunction was observed two months after the analog was discontinued, and the patient was restarted on nucleic acid analog treatment. There are many issues to be resolved, including whether nucleic acid analogs should be discontinued immediately following delivery or continued for certain time or whether breastfeeding should continue during nucleic acid analog treatment.

著者

大國 皓平 竹下 彰 五嶋 由紀子 辰島 啓太 福原 紀章 岡田 満夫 西岡 宏 山田 正三 竹内 靖博

出版者

一般社団法人 日本内分泌学会

雑誌

日本内分泌学会雑誌 (ISSN:00290661)

巻号頁・発行日

vol.98, no.S.HPT, pp.47-50, 2022-08-20 (Released:2022-08-04)

著者

佐藤 美佳 古川 裕之 松嶋 由紀子 横井 祐子 宮本 謙一

出版者

日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.33, no.3, pp.245-250, 2007-03-10

被引用文献数

2 1

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In clinical trials,patient name,date of birth,and sex are items of medical information used to refer to patients.Generally speaking,patient names are indicated by their initials.However,there are doubts as to whether patients may remain completely unidentified when initials are used.In this study,we investigated the identification levels of patients through the combination of the above three patient data items in post marketing surveillance data.We also investigated the necessity of items recorded in case registration forms for pharmaceutical companies and medical institutions.We investigated combinations of"K.K"and"Jan.2,1947"which were assumed to relate to the largest populations in the database of patient medical information at Kanazawa University Hospital.The total number of patients in the database with combinations of the above was 358,251.The number of patients with the initials"K.K."was 7,892(1/45),that with the initials"K.K"and"1947"was 173(1/2000),and that with the initials"K.K","1947" and"Jan"was 23,while there were only 4 patients(1/8500)with the initials"K.K.""1947","Jan"and "2".These results indicate that it would be possible to identify patients from the combination of their initials and their date of birth(DD/MM/YY).However,the size of the patient population in each medical institution's database would be an important factor since it would determine the extent to which this could be done.From the point of view of protecting personal information,it is thus necessary to consider whether it is appropriate to use patients' initials and dates of birth based on the size of patient population.